Organization
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
7671 QUARTERFIELD RD, #400, GLEN BURNIE, MD 21061-4998
(410) 760-1212
(410) 760-1999
Mailing address
7671 QUARTERFIELD RD, #400, GLEN BURNIE, MD 21061-4998
(410) 760-1212
(410) 760-1999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6164
MD
Other
Enumeration date
08/31/2006
Last updated
10/10/2013
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